Active NPI
Brien Pittman
- Electroneurodiagnostic Specialist/Technologist
- Post Falls, ID
National Provider Identifier
1609240233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 784 S Clearwater Loop
Post Falls, ID 83854-9599 - Phone
- (509) 324-2025
- NPI assigned
- Nov 19, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physiological Laboratory
- Post Falls, ID
- NPI 1639750243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E.N.D. Labs LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
784 S Clearwater Loop
Post Falls, ID 83854-9599
Mailing address
784 S Clearwater Loop
Post Falls, ID 83854-9599
Phone (509) 324-2025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2020.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1609240233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 S CLEARWATER LOOP",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549599",
"telephone_number": "509-324-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 S CLEARWATER LOOP",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549599",
"telephone_number": "509-324-2025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "BRIEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-19",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.